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Heart failure & shock w/o CC/MCC

MS-DRG 293 · negotiated-rate distribution across hospitals in CA

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Hospitals
63
Min
$93.03
Median
$6,652.23
Max
$26,222
Range multiplier
281.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield52156$90.00$7,817.32$31,315347.9×
Health Net34105$5,281.17$9,768.63$35,6016.7×
Aetna4571$67.00$7,846.31$29,361438.2×
UnitedHealthcare2471$68.48$10,840$63,369925.4×
Kaiser Permanente3745$4,840.80$6,467.19$29,4866.1×
Medicare3039$4,906.79$6,278.59$22,3594.6×
Cigna2339$5,610.70$10,710$33,9026.0×
Humana3535$4,906.79$6,353.66$20,7894.2×
Molina2232$5,407.10$6,101.76$23,4634.3×
Anthem BCBS2026$4,906.79$6,064.52$8,951.421.8×
brand new day1819$5,610.70$6,105.46$9,577.091.7×
monarch health plan717$5,017.11$6,533.00$15,6103.1×
scan health plan1316$4,911.49$6,702.76$15,3233.1×
la care health plan714$5,601.74$6,474.72$8,574.501.5×
central health plan1414$5,742.46$6,438.22$7,255.351.3×
Multiplan1313$90.00$6,520.43$10,019111.3×
Empire BCBS913$5,945.09$6,467.19$8,398.491.4×
TRICARE712$4,382.47$6,182.02$6,809.231.6×
heritage provider network811$5,281.17$9,577.09$13,8872.6×
First Health1010$61.30$28,125$48,035783.6×
healthcare partners810$5,945.07$8,226.97$16,9862.9×
WellCare99$5,610.70$5,945.09$6,876.841.2×
caremore99$5,610.70$6,595.77$9,577.091.7×
Bright Health58$5,533.85$9,577.09$12,4502.2×
providence health plan77$5,610.70$5,945.09$6,907.781.2×
caloptima36$9,577.09$9,577.09$9,577.091.0×
primecare medical network36$10,535$12,690$14,8441.4×
renal payer solutions66$5,584.38$5,803.93$6,376.381.1×
emanate health26$6,045.01$6,547.59$13,4382.2×
national healthcare solutions, inc (nhsi)66$8,935.01$9,339.05$10,7501.2×
family choice medical group36$9,577.09$11,014$12,4501.3×
employer direct healthcare66$7,259.69$7,587.98$8,734.431.2×
select health35$5,545.23$7,220.68$10,3151.9×
commercial | western health advantage | all plans55$4,154.61$4,154.61$4,154.611.0×
managed health network55$5,584.38$5,931.35$31,5925.7×
commercial | hill physicians | all plans55$6,000.84$6,278.59$6,761.111.1×
onecare55$5,281.17$6,176.73$6,876.841.3×
naphcare45$8,655.79$8,900.81$10,4141.2×
alignment health plan44$5,281.17$9,577.09$9,577.091.8×
centivo44$9,438.82$12,630$15,4731.6×
la care34$5,281.17$6,410.96$7,426.991.4×
prime health services34$6,500.22$18,213$31,1834.8×
brandman centers44$5,610.70$5,826.59$6,595.771.2×
alignment44$5,584.38$5,823.38$6,376.381.1×
l.a care health plan24$5,584.38$5,724.89$6,167.151.1×
epic health plan24$6,045.01$7,444.26$9,406.311.6×
aids healthcare foundation34$5,584.38$5,704.92$5,982.701.1×
amvi/prospect medical group33$9,577.09$9,577.09$9,577.091.0×
central health33$5,809.29$6,539.58$7,564.521.3×
ahmc33$14,366$14,366$14,3661.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Uci Medical CenterOrangeCA33$98.00$9,768.63$63,369
Placentia Linda Community HospitalPlacentiaCA33$98.00$9,672.86$63,369
Fountain Valley Reg Medical CenterFountain ValleyCA33$98.00$9,672.86$63,369
Providence St Joseph Medical CenterBurbankCA3$90.00$93.03$18,929
Stanford Health CareStanfordCA1$8,761.24$8,761.24$8,761.24
Uc Davis Medical CenterSacramentoCA6$8,105.37$8,413.37$22,695
Saint Francis Memorial HospitalSan FranciscoCA9$8,137.65$8,137.65$24,657
Centinela Hospital Medical CenterInglewoodCA26$6,167.00$5,865.39$8,017.30$11,175
Memorialcare Long Beach Med CtrLong BeachCA28$6,533.00$7,908.37$20,710
Providence Lttl Co Mary Mc San PedroSan PedroCA17$6,353.66$7,876.26$48,035
St. Marys Medical CenterSan FranciscoCA9$7,710.03$7,710.03$23,361
St Jude Medical Center FullertonFullertonCA6$62.80$7,553.80$29,361
Memorialcare Orange Coast Med CtrFountain ValleyCA19$5,647.82$7,519.94$17,040
Providence Lttl Co Mary Mc TorranceTorranceCA18$6,176.73$7,492.75$48,035
Memorialcare Saddleback Med CtrLaguna HillsCA20$4,911.49$7,296.76$28,169
Community Hospital Of San BernardinoSan BernardinoCA8$7,192.26$7,192.26$14,025
Surprise Valley Health Care DistrictCedarvilleCA3$7,037.59$7,037.59$18,533
Santa Rosa Memorial HospitalSanta RosaCA13$6,769.62$6,907.78$20,853
Methodist Hospital Of SacramentoSacramentoCA8$4,154.61$6,761.11$6,963.94
Petaluma Valley HospitalPetalumaCA10$6,465.31$6,734.98$13,052
Providence Holy Cross Med. CenterMission HillsCA19$6,595.77$6,727.69$48,035
Chino Valley Medical CenterChinoCA22$6,718.00$4,382.47$6,718.79$13,438
Queen Of The Valley Medical CenterNapaCA12$90.00$6,704.55$24,880
Cedars-Sinai Marina Del Rey HospitalMarina Del ReyCA19$5,826.59$6,652.23$48,035
Providence Cedars-Sinai Tarzana MediTarzanaCA19$5,826.59$6,652.23$48,035
Dominican HospitalSanta CruzCA5$6,396.52$6,594.35$15,035
Tri-City Medical CenterOceansideCA12$20,670$12,402$5,407.10$6,580.92$8,110.65
St. Mary Medical CenterApple ValleyCA8$6,486.84$6,486.84$10,379
St. Joseph Hospital - EurekaEurekaCA11$6,467.19$6,467.19$17,849
St. Joseph Hospital Of OrangeOrangeCA11$6,467.19$6,467.19$17,849
Mercy San Juan Medical CenterCarmichaelCA9$4,154.61$6,434.63$8,043.29
Glendale Memorial Hospital & Hlth CtGlendaleCA3$6,412.97$6,412.97$7,695.56
Santa Monica Ucla Medical CenterSanta MonicaCA25$39.10$6,406.31$14,109
Sherman Oaks Hospital-HlthSherman OaksCA29$5,584.00$5,584.38$6,288.68$10,119
Mercy General HospitalSacramentoCA7$4,154.61$6,278.59$6,466.95
Encino HospitalEncinoCA26$5,601.00$5,601.74$6,247.69$10,150
Woodland HealthcareWoodlandCA6$4,154.61$6,157.17$6,337.79
Montclair Hospital Medical CenterMontclairCA20$6,080.00$6,045.01$6,080.10$12,160
Huntington Beach HospitalHuntington BeachCA15$5,931.00$5,931.35$6,077.02$10,748
Sierra Nevada Memorial HospitalGrass ValleyCA7$6,061.17$6,061.17$6,061.17
Sequoia HospitalRedwood CityCA10$6,042.18$6,042.18$20,846
Mercy Hospital Of FolsomFolsomCA7$4,154.61$6,000.84$6,180.87
Mission Hospital Reg Medical CenterMission ViejoCA20$5,945.09$5,945.09$13,158
Marian Medical CenterSanta MariaCA5$5,938.35$5,938.35$5,938.35
Northridge Medical Center - RoscoeNorthridgeCA6$5,897.89$5,897.89$7,077.47
Garden Grove Hospital Medical CenterGarden GroveCA18$5,742.00$5,742.46$5,771.17$10,405
St Elizabeth Community HosptialRed BluffCA6$5,720.00$5,720.00$5,720.00
St. Bernardine Medical CenterSan BernardinoCA8$4,840.80$5,695.06$11,105
Providence St Johns Health CenterSanta MonicaCA20$61.30$5,610.70$15,189
Mercy Medical Center MercedMercedCA7$5,523.83$5,523.83$5,523.83
St. Johns Regional Medical CenterOxnardCA6$5,385.16$5,385.16$5,385.16
Bakersfield Memorial HospitalBakersfieldCA7$5,220.61$5,220.61$7,100.03
St. Johns Pleasant Valley HospitalCamarilloCA7$4,906.79$4,906.79$13,003
Sharp Memorial HospitalSan DiegoCA4$42,123$31,592$14,322$26,222$31,592
Sharp Chula Vista Medical CenterChula VistaCA7$42,123$31,592$12,511$23,799$37,911
Central Valley Specialty HospitalModestoCA11$20,789$20,789$31,315
Grossmont HospitalLa MesaCA1$42,123$31,592$14,322$14,322$14,322
Redwood Memorial HospitalFortunaCA2$11,107$11,506$11,905
Scripps Mercy HospitalSan DiegoCA8$26,271$6,567.67$6,757.26$10,386$18,158
Southwest Healthcare SystemWildomarCA0
Palmdale Regional Medical CenterPalmdaleCA0
Inland Valley Reg L Medical CenterWildomarCA0
Corona Regional Medical CenterCoronaCA0

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.